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Delayed diagnosis and management of necrotizing fasciitis of the left lower leg: A case report
Necrotizing fasciitis (NF) is a rare, severe soft tissue infection, characterized by rapid and extensive necrosis of the skin, subcutaneous tissue, and superficial and deep fascia. It is frequently misdiagnosed as other infectious diseases, leading to inappropriate treatment and potentially serious...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622582/ https://www.ncbi.nlm.nih.gov/pubmed/36316936 http://dx.doi.org/10.1097/MD.0000000000031231 |
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author | Zhang, Li-Xia Liang, Zhao-Jun Zhao, Bao-Yin Shi, Xue-Wen Zhang, Tao Liu, Hua Yu, Xiao-Hui |
author_facet | Zhang, Li-Xia Liang, Zhao-Jun Zhao, Bao-Yin Shi, Xue-Wen Zhang, Tao Liu, Hua Yu, Xiao-Hui |
author_sort | Zhang, Li-Xia |
collection | PubMed |
description | Necrotizing fasciitis (NF) is a rare, severe soft tissue infection, characterized by rapid and extensive necrosis of the skin, subcutaneous tissue, and superficial and deep fascia. It is frequently misdiagnosed as other infectious diseases, leading to inappropriate treatment and potentially serious consequences. It may be complicated by septic shock and multiple organ failure with a fatal outcome. PATIENT CONCERNS: A 73-year-old woman presented with continuous itching, skin lesions, pain, and swelling of the outer side of her left leg. The patient was diagnosed with septic shock and multiorgan failure caused by left leg NF. DIAGNOSIS: Septic shock and multiorgan failure caused by left leg NF. INTERVENTIONS: Two surgeries were performed on the patient’s leg, which effectively treated her septic shock and multiple organ dysfunction. OUTCOMES: The patient was followed up three times after her discharge. She had a good recovery, was generally well with no significant sequelae, and returned to her regular life. CONCLUSION: NF is an acute severe illness with high mortality. It is easily misdiagnosed, leading to delayed or erroneous treatment and serious (or potentially fatal) outcomes. Rapid and accurate diagnosis of NF is essential for patient recovery. In difficult cases, multidisciplinary consultations may be helpful. The management of NF includes early and thorough surgical debridement, antibiotics, and symptomatic treatment. |
format | Online Article Text |
id | pubmed-9622582 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-96225822022-11-03 Delayed diagnosis and management of necrotizing fasciitis of the left lower leg: A case report Zhang, Li-Xia Liang, Zhao-Jun Zhao, Bao-Yin Shi, Xue-Wen Zhang, Tao Liu, Hua Yu, Xiao-Hui Medicine (Baltimore) 3900 Necrotizing fasciitis (NF) is a rare, severe soft tissue infection, characterized by rapid and extensive necrosis of the skin, subcutaneous tissue, and superficial and deep fascia. It is frequently misdiagnosed as other infectious diseases, leading to inappropriate treatment and potentially serious consequences. It may be complicated by septic shock and multiple organ failure with a fatal outcome. PATIENT CONCERNS: A 73-year-old woman presented with continuous itching, skin lesions, pain, and swelling of the outer side of her left leg. The patient was diagnosed with septic shock and multiorgan failure caused by left leg NF. DIAGNOSIS: Septic shock and multiorgan failure caused by left leg NF. INTERVENTIONS: Two surgeries were performed on the patient’s leg, which effectively treated her septic shock and multiple organ dysfunction. OUTCOMES: The patient was followed up three times after her discharge. She had a good recovery, was generally well with no significant sequelae, and returned to her regular life. CONCLUSION: NF is an acute severe illness with high mortality. It is easily misdiagnosed, leading to delayed or erroneous treatment and serious (or potentially fatal) outcomes. Rapid and accurate diagnosis of NF is essential for patient recovery. In difficult cases, multidisciplinary consultations may be helpful. The management of NF includes early and thorough surgical debridement, antibiotics, and symptomatic treatment. Lippincott Williams & Wilkins 2022-10-28 /pmc/articles/PMC9622582/ /pubmed/36316936 http://dx.doi.org/10.1097/MD.0000000000031231 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 3900 Zhang, Li-Xia Liang, Zhao-Jun Zhao, Bao-Yin Shi, Xue-Wen Zhang, Tao Liu, Hua Yu, Xiao-Hui Delayed diagnosis and management of necrotizing fasciitis of the left lower leg: A case report |
title | Delayed diagnosis and management of necrotizing fasciitis of the left lower leg: A case report |
title_full | Delayed diagnosis and management of necrotizing fasciitis of the left lower leg: A case report |
title_fullStr | Delayed diagnosis and management of necrotizing fasciitis of the left lower leg: A case report |
title_full_unstemmed | Delayed diagnosis and management of necrotizing fasciitis of the left lower leg: A case report |
title_short | Delayed diagnosis and management of necrotizing fasciitis of the left lower leg: A case report |
title_sort | delayed diagnosis and management of necrotizing fasciitis of the left lower leg: a case report |
topic | 3900 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622582/ https://www.ncbi.nlm.nih.gov/pubmed/36316936 http://dx.doi.org/10.1097/MD.0000000000031231 |
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